British Journal of Radiology (2004) 77, 365
© 2004 British Institute of Radiology
doi:
Imaging of the pancreas. Cystic and rare tumours. Edited by C Procacci and AJ Megibow, pp. 299, 2003 (Springer-Verlag, Heidelberg), £98.00 ISBN 3-540-42742-2
A Gillam
This is timely treatise which makes good use of our recently improved knowledge and appreciation of pancreatic tumours. In 300 pages this book provides a detailed description of the clinical, pathological and imaging features of cystic and rare pancreatic tumours. The book is divided into chapters by tumour group for example there are individual chapters dedicated to serous cystic tumours, mucinous cystic tumours, intraductal cystic tumours, neuro-endocrine, metastatic and even less frequently occurring pancreatic neoplasms. The strength of the book lies in the extensive pathological correlation. There are many useful microscopic and macroscopic pathological illustrations. The imaging component is up-to-date, with widely practiced standard protocols. All the relevant imaging modalities are included. The true incidence of cystic tumours and to a degree their natural history have become more clearly understood since high quality CT, MR and particularly MRCP have become widely available. Drawing from their own substantial experience the authors provide a definitive classification. This should replace the previous classifications which suffer from overlapping and confusing nomenclature.
On the downside the use of English is a little variable but always fathomable. In places the script is so heavily referenced that the fluency of the text is interrupted, although some would argue this is a strength not a failing. The imaging protocols are quite generalized. For elusive neuro-endocrine tumours some specialist centres would recommend a more rigorous CT protocol using for example bolus tracking and higher injection rates <7–8 ml s–1. At £98.00 this is unlikely to become a standard text for radiology trainees but it is an excellent book, currently the definitive treatise on the subject. This will be required reading for anyone wishing to be considered a serious pancreatic opinion.
